Is there a reason a surgeon would suggest a small implant?

Question

I’m scheduled for a breast augmentation soon. The surgeon suggested a 255cc - 295cc round gummy implant. I’m a deflated A-B cup now after having children. I’m worried anything under 300cc will not give me the full C cup I want. I have curvy hips and want my top body to match my curves for more of an hour glass shape. Is there a reason a surgeon would suggest a small implant?

Ronald J. Edelson, MD · Answer

Different surgeons have varying opinions on what implant size to use. The most common size use is in the mid 300’s and I almost never exceed 500z

Alan Gonzalez, MD, FACS · Answer

Hello Dear @tee_1010 thank you for your question. It is extremely important to consider other factors when deciding the size of the implant so that they can be determined in a personalized and accurate manner, not only the size, but also the volume, location, and type. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS

Finny George, MD · Answer

Hi, thank you for sharing your question. The difference between a 300cc implant and 295cc is minimal. The decision to select a particular implant may depend on your specific anatomy and the ability to fit an implant into the space. If you feel strongly about a specific size, make sure your surgeon is aware. I hope this helps.

Brian K. Reedy, MD · Answer

Thanks for your question!
It may  that you have a small frame. Reach out to your surgeon with your concerns and clarification on sizing. Best wishes!

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Luis Eduardo Guerrero, MD · Answer

There are several guidelines that help to select an adequate imolant size, those are based in anatomical measurments. In accordance to patient's anatomy there are some recommendations in terms of implant size, implant profile, pocket etc. Probably your surgeon recommends you the size based on those guidelines in order to get the best outcome.

Daniel Barrett, MD · Answer

Dear tee_1010,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your question. Without photographs or an in-person examination it is difficult to offer advice. There could be a number of reasons the surgeon recommended that sizing and you'd have to ask them their rationale.  If not happy with the way these sizes looked when trying them on in the office, seek out second opinions in your area.

Anmol Chugh, MBBS, MS, MCh · Answer

There are different sizers that are available with plastic surgeons which you can try. They give you a good idea. Also 3D stimulation can help.

Connie Hiers, MD, FACS · Answer

Yes, your surgeon who has examined and measured you knows what range of implants will fit your frame and tissue. Going larger does not always work well for it stretches and thins your own tissue more and may sag over time.

Is there a reason a surgeon would suggest a small implant?

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